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Chronic Ankle Ligament Injury and its Clinical Management, A Literature Review 慢性踝关节韧带损伤及其临床治疗,文献综述
Pub Date : 2023-09-20 DOI: 10.34257/gjmrbvol23is3pg5
Amanda Gomes Quiroga, Jose Pereira da Silva Filho, Joaquim Lucas Silva Cardoso, Valter Oliveira da Silva, Ana Beatriz de Matos Berg Abrantes, Rebeca Mendes Peres, Fabiana Caroline Coelho Carvalho Firme, Isabella Menezes Batista, Ana Laura Passos de Magalhães, Ulisses Tomaz Monteiro, Bruna Daher Fonseca, Marina Mota de Oliveira Madruga, Caio Lopes Oliveira, Rayssa Blenda Martins, Victor de Oliveira Bessa, Maria Alice Silva Vasconcelos, Pollyane Vieira de Almeida, Dra. Aline de Amorim Duarte
Introduction: It's important to comprehend the key concepts of chronic ligament injuries to the ankle, which occur when there is deterioration or weakening and can result from recurrent or untreated trauma (AMODIO, 2013). Chronic ligament damage typically results from frequent ankle sprains. Ligaments are fibrous tissues that connect bones and provide stability for joints. In the ankle, the ligaments most commonly affected are the anterior talofibular ligament and the calcaneofibular ligament.
引言:了解踝关节慢性韧带损伤的关键概念很重要,它发生在恶化或减弱时,可能是由复发性或未经治疗的创伤引起的(AMODIO, 2013)。慢性韧带损伤通常是由频繁的踝关节扭伤引起的。韧带是连接骨骼并为关节提供稳定性的纤维组织。在踝关节,最常受影响的韧带是距腓骨前韧带和跟腓骨韧带。
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引用次数: 0
Miliary Tuberculosis in Pregnancy in the Post Covid Phase– A Case Report 新冠肺炎后妊娠期军人结核病1例报告
Pub Date : 2023-08-23 DOI: 10.34257/gjmrevol23is2pg11
Anu Anna George, M. Isac
Miliary tuberculosis is usually seen in pregnant women with a compromised immune system. Recent studies have speculated a plausible immune dysregulation for several months following a COVID-19 infection. We report the case of a pregnant women who had COVID infection in the first trimester and miliary tuberculosis with ARDS in the third trimester. We presume that the onset of tuberculosis as disseminated disease could be due to a weakened immune system following COVID-19 infection and we hope that this case could shed some light on the risk for infections during the post – covid phase in pregnancy.
Milary肺结核通常发生在免疫系统受损的孕妇身上。最近的研究推测,新冠肺炎感染后几个月可能出现免疫失调。我们报告了一例孕妇,她在妊娠早期感染了新冠肺炎,在妊娠晚期感染了粟粒性肺结核并发ARDS。我们推测,肺结核作为传播性疾病的发病可能是由于新冠肺炎感染后免疫系统减弱,我们希望这一病例能够阐明妊娠新冠肺炎后阶段感染的风险。
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引用次数: 0
Possible Impact of the Construction of the Belo Monte Hydroelectric Power Plant on Cases of Congenital Syphilis in the Xingu Region 贝罗蒙特水电站建设对新古地区先天性梅毒病例的可能影响
Pub Date : 2023-08-23 DOI: 10.34257/gjmrevol23is2pg1
Evellyn Vitória Sousa de Loureiro, Osvaldo Correia Damasceno, Ciro Francisco Moura de Assis Neto
Syphilis is considered a serious public health problem in Brazil and worldwide. The disease is especially worrying during pregnancy, as the mother can transmit the infection to her fetus, causing congenital syphilis. In this context, few articles have established a causal relationship between the growth in the number of cases of gestational and congenital syphilis in the Xingu Region and the construction of the Belo Monte Hydroelectric Plant. Objective: This study aims to analyze the influence of the intense migratory flow resulting from the construction of the Belo Monte Hydroelectric Power Plant on the cases of congenital syphilis. Methodology: This is an ecological study of congenital syphilis reported in the Xingu Region from January 2007 to 2019, using data obtained from the Information System of Notification Grievances.Results: It was found that there was an influence of the construction of the Belo Monte hydroelectric plant on the number of cases of congenital syphilis in the region.294 cases of congenital syphilis were reported. The most affected pregnant women were between 16 and 20 years old, were brown, had incomplete primary education and lived in the urban area. The study revealed numerous shortcomings in prenatal care provided in the Xingu Region.
梅毒在巴西和全世界被认为是一个严重的公共卫生问题。这种疾病在怀孕期间尤其令人担忧,因为母亲可以将感染传染给胎儿,导致先天性梅毒。在这种情况下,很少有文章建立了兴古地区妊娠期和先天性梅毒病例数量增长与贝罗蒙特水电站建设之间的因果关系。目的:本研究旨在分析贝罗蒙特水电站建设引起的大量移民对先天性梅毒病例的影响。方法:对2007年1月至2019年新谷地区报告的先天性梅毒进行生态学研究,数据来自举报投诉信息系统。结果:发现贝罗蒙特水电站的建设对该地区先天性梅毒的发病人数有一定影响。报告先天性梅毒294例。受影响最严重的孕妇年龄在16至20岁之间,肤色棕色,未完成初等教育,居住在城市地区。该研究揭示了在新古地区提供的产前护理的许多缺点。
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引用次数: 0
Retrospective Review of Outcomes in Patients with Endometriosis and Colonic Segmental Resection (CSR) or Low Anterior Resection (LAR) 子宫内膜异位症和结肠节段切除术(CSR)或低位前切除术(LAR)患者预后的回顾性分析
Pub Date : 2023-08-23 DOI: 10.34257/gjmrevol23is2pg15
Lin da Li, MD, FACOG, Sonia Hafiz, BA, Christy Stetter, BS, Kristin Riley, MD, FACOG
Objective: To further the understanding of long-term outcomes of endometriosis patients requiring colonic segmental resection (CSR) or low anterior resection (LAR). To improve counseling of patients with bowel endometriosis.Methods: Retrospective chart review at a single academic institution between 2000-2018 with 3-year follow-up of patients with CSR/LAR for endometriosis.21 patients aged 18-45 at single academic institution between 1/1/2000 and 12/31/2018 with ICD9&10 codes of endometriosis AND CSR/LAR were included; 9 met criteria for endometriosis as indication for CSR/LAR were reviewed.Results: Pre- and post-operative symptoms were categorized into GI (hematochezia, dyschezia, tenesmus, incontinence, incomplete evacuation of bowel, and pre-operative colonoscopy), GYN (dysmenorrhea, dyspareunia, pelvic pain, and infertility), and GU (dysuria, frequency, urgency, incontinence, and incomplete emptying).
目的:进一步了解子宫内膜异位症患者行结肠节段切除(CSR)或低位前切除术(LAR)的远期疗效。目的:提高对肠内膜异位症患者的咨询水平。方法:回顾性分析2000年至2018年单个学术机构对子宫内膜异位症CSR/LAR患者进行3年随访的图表。纳入2000年1月1日至2018年12月31日在单一学术机构接受icd9和10子宫内膜异位症和CSR/LAR诊断的21例18-45岁患者;9例符合子宫内膜异位症作为CSR/LAR适应症的标准。结果:术前和术后症状分为GI(便血、排便困难、尿急、尿失禁、排便不全、术前结肠镜检查)、GYN(痛经、性交困难、盆腔疼痛、不孕症)和GU(排尿困难、尿频、尿急、尿失禁、排空不全)。
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引用次数: 0
Texture based Animal Segmentation in Aerial Videos 航空视频中基于纹理的动物分割
Pub Date : 2023-08-22 DOI: 10.34257/gjreavol23is3pg1
Rishaad Abdoola, Yunfei Fang, Shengzhi Du, Paul Bartels, Christiaan Oosthuizen
Animal detection in aerial videos is a challenging problem due to the complex nature of the scenes involved as well as the natural ability of the animals to camouflage their environment. To assist with the detection and classification of animals for the purpose of nature conservation management, texture analysis is applied to aerial videos of wildlife scenes to segment the environment from the animals. To perform automatic wildlife surveying and animal monitoring, it is proposed to use GLCM texture segmentation to reduce the search area for animals in the aerial videos. Using the texture in the scene, the issues of a moving background and unpredictable state of the animal are avoided. The method presented is well suited to implementation on a UAV as it is easily parallelizable.
由于所涉及的场景的复杂性以及动物伪装环境的自然能力,航空视频中的动物检测是一个具有挑战性的问题。为了帮助动物的检测和分类,以便进行自然保护管理,我们将纹理分析应用于野生动物场景的航拍视频,从动物中分割环境。为了实现对野生动物的自动测量和监测,提出了利用GLCM纹理分割来减少航拍视频中动物的搜索面积。使用场景中的纹理,可以避免移动背景和动物不可预测状态的问题。该方法具有很好的并行性,适合在无人机上实现。
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引用次数: 0
Melioidosis an Emerging Disease in the Indian Ocean Region: Case Series Study in Mayotte 印度洋地区新出现的类鼻疽病:马约特岛的案例系列研究
Pub Date : 2023-08-21 DOI: 10.34257/gjmrcvol23is3pg1
Abdoulahy Diallo, Yacouba Dembélé, Amadou Cheick Tidiane Cisse, Issifou Yaya
Background: Burkholderia pseudomallei is the agent of melioidosis. It is a bacterium from the hydrotelluric environment, highly pathogenic for humans. The geographical distribution of this disease is spreading and now affects the southwest of the Indian Ocean and in Mayotte Case presentation: We report four new cases of melioidosis with a case that was complicated by a failure of several organs (case 2) which were observed on Mayotte Island. The last two affected cases came from Madagascar. Burkholderia pseudomallei was isolated from blood cultures, confirming the diagnosis. Prolonged treatment with ceftazidime or Ertapenem intravenously followed by cotrimoxazole alone or combined with oral doxycycline led to complete recovery. Conclusion: Melioidosis poses a potential threat in the Indian Ocean region in general and Mayotte and should be carefully monitored. The high incidences of diabetes and climatologic conditions such as rainy seasons with the occurrence of tropical cyclones make Mayotte a possible setting for melioidosis. It would therefore not be surprising to see a marked increase in the incidence rate of melioidosis in the years to come.
背景:拟鼻梁伯克霍尔德菌是类鼻梁病的病原体。它是一种来自水细胞环境的细菌,对人类具有高致病性。这种疾病的地理分布正在蔓延,现在影响到印度洋西南部和马约特岛。病例介绍:我们报告了四例新的类鼻疽病例,其中一例因马约特岛屿上观察到的几个器官衰竭而复杂(病例2)。最后两个受影响的病例来自马达加斯加。从血液培养中分离出假踝伯克霍尔德菌,证实了诊断结果。长期静脉注射头孢他啶或依他烯,然后单用复方新诺明或与口服多西环素联合治疗,可使患者完全康复。结论:Melioidosis对整个印度洋地区和马约特岛构成潜在威胁,应仔细监测。糖尿病的高发病率和气候条件,如雨季和热带气旋的发生,使马约特成为类鼻疽的可能发生地。因此,在未来几年里,类鼻疽的发病率显著上升也就不足为奇了。
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引用次数: 0
Artificial Intelligence (AI) in Family Medicine– A Summary 人工智能在家庭医学中的应用——综述
Pub Date : 2023-08-21 DOI: 10.34257/gjmrcvol23is3pg13
Rohan S. Kulkarni, Salva G Ahmed, Sunil S Kulkarni, V. Bhojwani
This bibliographic review evaluates Artificial Intelligence (AI) theory’s applications in the field of Family Medicine. Globally billions of people suffer from multiple health related issues throughout their lives including diseases of the heart, lungs, kidney, diabetes, and many forms of cancer. Diagnosis, remedy, and prevention of these disorders are multifaceted, and machine/computer based investigative tools for doctors are immediately needed to augment their decision-making. This study includes various applications of AI/machine learning (AI/ML) procedures in family medicine and its various sub-specialties. AI/ML-centered medicine offers better solutions over standard family medicine covering birth through end of life care. These include treatments for adolescents, geriatrics, disorders of pain and sleep, and sports injuries. However, several implementation hurdles for AI in clinical family medicine persist.
这篇文献综述评估了人工智能理论在家庭医学领域的应用。全球数十亿人一生都患有多种与健康相关的疾病,包括心脏病、肺部疾病、肾脏疾病、糖尿病和多种形式的癌症。这些疾病的诊断、治疗和预防是多方面的,医生迫切需要基于机器/计算机的调查工具来加强他们的决策。本研究包括AI/机器学习(AI/ML)程序在家庭医学及其各个子专业中的各种应用。以AI/ML为中心的医学提供了比标准家庭医学更好的解决方案,涵盖从出生到临终关怀。其中包括青少年、老年病、疼痛和睡眠障碍以及运动损伤的治疗。然而,人工智能在临床家庭医学中的几个实施障碍仍然存在。
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引用次数: 0
Relationship between Antidepressant use a nd Increased Bacterial Resistance 抗抑郁药的使用与细菌耐药性增加的关系
Pub Date : 2023-08-18 DOI: 10.34257/gjmrbvol23is2pg29
Matheus Amorim Grigorio, Rayssa Blenda Martins, Lucca Piacesi Muniz De Melo, Victoria Carneiro Maciel, Dayane Carolini Rodrigues, Edson Brunetti Da Silva, Caio Almeida Andrade, Lorena de Sousa Moura, Juliane Alves de Mesquita, Mariana Santos Pinto, E. Oliveira, Isabella Furlan de Assis, Lucas Roberto Araújo Paiva Calabrich
Introduction: The uncontrolled use of antidepressant drugs can be potentially harmful to individual and collective health. Analgesics are often used inappropriately and carelessly, which can result in a number of negative effects like bacterial resistance, hypersensitivity, dependence, digestive bleeding, withdrawal symptoms, and even an increased risk for certain neoplasms (Ribeiro et al., 2010).The central nervous system, as well as the respiratory and digestive systems, are the sources of the complaints that are most frequently linked to self-medication, including headache, musculoskeletal pain, fever, respiratory infections, heartburn, abdominal pain, constipation, and diarrhea (Furtadoetal., 2019).
引言:不受控制地使用抗抑郁药物可能对个人和集体健康有害。镇痛药的使用往往不恰当和不小心,这可能导致许多负面影响,如细菌耐药性、超敏反应、依赖性、消化道出血、戒断症状,甚至增加某些肿瘤的风险(Ribeiro等人,2010),是最常见的与自我用药有关的投诉来源,包括头痛、肌肉骨骼疼痛、发烧、呼吸道感染、烧心、腹痛、便秘和腹泻(Furtadoetal.,2019)。
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引用次数: 0
Detection of the Inhibitory Potential of Psidium Guajava L. Extract in Multidrug-Resistant Corynebacterium Striatum Strains Isolated from Nosocomial Outbreaks 番石榴番石榴提取物对医院暴发多重耐药纹状棒状杆菌抑制潜力的检测
Pub Date : 2023-08-18 DOI: 10.34257/gjmrbvol23is2pg1
B. R. Ribeiro, Pedro Guimarães Machado, Grazielly Ribeiro Viana, Msc. Fellipe de Oliveira Cabral, Arize Duarte Vieira, Msc. Talita Barbosa Gomes, Msc. Matheus Del Penho, Msc. Higor Francesch Mota, Dr. Luciano de Carvalho Rapagña, Dr. Gilson Viana da Silva, Dra. Louisy Sanches dos Santos, Dra. Ana Luiza de Mattos Guaraldi, Dr. Cassius de Souza
Corynebacterium striatum is an emerging Gram-positive bacillus that presents tropism for the human microbiota, however, it has a high probability of presenting a multidrug-resistant (MDR) profile. In addition, several studies indicate its ability to cause serious infections in patients with varying levels of immune compromise. C.striatum samples may present different virulence mechanisms such as; disinfectant tolerance, motility, and bacterial biofilm formation. This work aims to evaluate the antimicrobial activity of the hydroalcoholic extract of Psidium guajava L. on MDR and MDS strains of C. striatum an alternative for treatment. We used the agar disk diffusion method to evaluate the susceptibility of bacterial samples under conditions of treatment with Psidium guajava L. The results showed in the disk diffusion test bacterial strains independent of their resistance profile MDS 1987 and MDR 1961 showed sensitivity to 100% crude extract of Psidium guajava L. showing inhibition halos of 13mm and 14mm, respectively. In the synergism test, a better result was obtained with the MDR1961 strain, and there was no result with the MDS1987 strain. The results of this course’s conclusion research can be considered a promising source for the search for new options against bacterial multidrug resistance, giving an incentive to seek new alternatives and isolation of molecules from plants to be able to use and fight multidrug-resistant infections.
纹状棒状杆菌是一种新兴的革兰氏阳性芽孢杆菌,对人类微生物群具有趋向性,然而,它很有可能呈现多重耐药(MDR)特征。此外,几项研究表明,它能够在不同程度的免疫受损患者中引起严重感染。纹状体样品可能呈现不同的毒力机制,如;消毒剂耐受性、运动性和细菌生物膜的形成。本研究旨在评价番石榴水醇提取物对MDR和MDS病原菌的抑菌活性。采用琼脂盘扩散法,对不同耐药谱的细菌样品进行了药敏试验。结果表明,不同耐药谱的菌株MDS 1987和MDR 1961对100%番石榴粗提物均有敏感性,抑制晕分别为13mm和14mm。在增效试验中,MDR1961菌株取得了较好的增效效果,而MDS1987菌株则没有增效效果。本课程的结论研究结果可以被认为是寻找对抗细菌多药耐药新选择的有希望的来源,激励人们寻求新的替代方案和从植物中分离分子,以便能够使用和对抗多药耐药感染。
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引用次数: 0
Psychedelic Drugs used in the Treatment of Depression: A Literature Review 迷幻药治疗抑郁症的文献综述
Pub Date : 2023-08-18 DOI: 10.34257/gjmrbvol23is2pg15
Matheus Amorim Grigorio, Esther Soneghet Baiocco e Silva, Vitória Patrícia Rodrigues Cunha, Layanne Bosse, Roberta Wassita Curi Schumann Rosso, Ana Beatriz Sales Vieira, Maria Jeane Veras Resende, Julia Pessoa de Melo Seixa, Lucas Belém Pessôa de Melo Guerra Seixas, Clarice de Abreu Pereira, G. M. Manca, Carolina Santoro Bueno, Paula Teixeira Silva, Marina Costa Florio, Juliane Alves de Mesquit, Raphael Vinicius Mendes Abreu, Édimo Júnior Queiroz Oliveira, Mariana Isabella de Medina Satriano, Andressa Akiko Koshikum, Dra. Aline de Amorim Duarte
Introduction: When analyzing the main depressive conditions and their treatments, we understand that it is not so simple to take care of psychosomatic conditions, because it is a pathology that has a significant epidemiological aspect and needs a good approach, therefore, psychedelic drugs come in as a an important alternative as a treatment. Methodology: This is a literature review with research in databases, using 60 scientific articles as a basis and being filtered based on scientific impact and approach.Results: Psychedelic agents are chemical substances that, in non-toxic doses, produce changes in conception and thinking in a state of mind, thus altering perception and reason. There are several substances with psychedelic actions, many of which are banned and considered illegal in several countries around the world, however there are regulators that regulate various drugs and substances, and many of these deserve attention, due to the great evolution in the scientific technical environment.Final considerations: It is important to understand the mechanism and how to analyze depressive conditions, as well as adjust changes in life, practices and quality of life.
引言:在分析主要的抑郁症及其治疗方法时,我们了解到照顾心身疾病并不是那么简单,因为这是一种具有重要流行病学意义的病理学,需要一种良好的方法,因此,迷幻药是一种重要的治疗替代品。方法论:这是一篇在数据库中进行研究的文献综述,以60篇科学文章为基础,并根据科学影响和方法进行筛选。结果:迷幻药是一种化学物质,在无毒剂量下,会在精神状态下改变观念和思维,从而改变感知和理性。有几种具有迷幻作用的物质,其中许多在世界上几个国家被禁止并被视为非法,但有监管机构监管各种药物和物质,由于科学技术环境的巨大发展,其中许多值得关注。最后的考虑:重要的是要了解抑郁的机制和如何分析抑郁状况,以及调整生活、实践和生活质量的变化。
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引用次数: 0
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Global journal of medical research
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